Internal Medicine
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Can One Be Certain About the Rhythm Diagnosis?
The 12-lead ECG and long lead II rhythm strip in the figure was obtained from a patient who was hemodynamically stable. What is the rhythm in the figure? Why can one be virtually certain what the rhythm diagnosis is before attempting a vagal maneuver or using medication?
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Ubrogepant Tablets (Ubrelvy)
Ubrogepant is indicated for the acute treatment of migraine with or without aura in adults.
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Prognosis in Small Fiber Neuropathy
Small fiber neuropathy is a common disorder that causes chronic pain, but rarely progresses to disability or more severe neurological disorders. Management of the pain continues to be the major treatment challenge.
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Colonization With Clostridioides difficile Frequently Leads to a Misdiagnosis of Healthcare-Associated Infection
A prospective cohort study from a single institution revealed 27% of patients diagnosed with healthcare-associated Clostridioides difficile infection were colonized with the same isolate on admission.
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Does Exercise Decrease Incident Depression in a High-Risk Population?
The authors of this large-scale, observational study found that three or more hours weekly of physical activity was associated with a decreased incidence of depression, even in patients with a high genetic risk of depression.
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(Mal)Nutrition in Medical Education
In a systemic review of recent publications, investigators found that medical students and recent graduates worldwide are ill-prepared to counsel patients on nutritional guidelines and have deficits in both knowledge and confidence about the topic. The researchers found a perceived lack of training, but found that interventions undertaken to improve curriculum showed positive effects on nutrition competencies. -
Does Exercise Decrease Incident Depression in a High-Risk Population?
The authors of this large-scale, observational study found that three or more hours weekly of physical activity was associated with a decreased incidence of depression, even in patients with a high genetic risk of depression.
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Increasing Connection to Nature: A Novel Approach
Using an online survey system, researchers showed that the use of psychedelics can increase feelings of connection to nature.
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Therapeutic Hypothermia in Coma After Cardiac Arrest With Nonshockable Rhythm
Therapeutic hypothermia is beneficial and increases the probability of brain recovery in patients with coma due to cardiac arrest with a nonshockable heart rhythm.
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Immune Cell Infiltration Drives Cerebral Edema in Glioblastoma
Accumulating evidence suggests that immune dysregulation by glioblastoma cells induces tumor-associated edema and that disruption of this tumor-immune interaction may represent a novel strategy to reduce cerebral edema in glioblastoma.